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Home My WebLink AboutZ-23524FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-23524 Date MARCH 6, 1995 THIS CERTIFIES that the buildin~ Location of Property 3705 CAMP MINEOLA ROAD House No. Street County Tax Map No. 1000 Section 123 Block 5 Subdivision Filed Map No. OWE FAMILY DWELLING MATTITUCK, N.Y. Hamlet Lot 34 Lot No. conforms substantially to the Requirements for a One Family Dwelling built Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-23524 dated MARCH 6, 1995 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is OWE FAMILY SEASONAL DWELLING WITH ACCESSORY 2 CAR GARAGE * The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *P?.~ASE SEE ATTACHED INSPECTIO? Rev. 1/81 ~ ARTHUR H. AXBERG, JR. N/A N/A N/A PORT. Building In~ BUiLDiNG DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 3705 CAMP MINEOLA ROAD (number & street) SUBDIVISION HAP NO. NAME OF OWNER (~ ARTHHRAXBERG, JR. OCCUPANCY SEASONAL SINGLE FAMILY DWELLING (type) DONALD FEILER ARTHHRAXBERG ADMITTED BY: KEY AVAILABLE SOURCE OF REQUEST: MATTITUCK, N.Y. (municipality) LOT(s) (owner-tenant) ACCOMPANIED BY: SAME SUFF.CO. TAX MAP NO. 1000-123-5-~4 DATE: FEB. 23, 1995 DWELLING: TYPE OF CONSTRUCTION FOUNDATION TOTAL ROOMS: BATHROOM (s) PORCH TYPE BREEZEWAY DOMESTIC HOTWATER YES TYFE HEAT NONE WOOD FRAME PIERS & CONCRETE CELLAR IST FLR. 6 2ND FLR. ONE TOILET ROOM (s) REAR & SIDE ENCLOSED FIREPLACE TYPE HEATER WARHAIR 3RD FLR. BECK, TYPE ONE L.P. GAS { STORIES CRAWL SPACE UTILITY ROOM PATIO GARAGE AIRCONDITIONING HOTWATER 3 EXITS OTIdliR: ACCESSORY STRUCTURES: GARAGE,.-TYPE OF CONST. SWIMMING POOL OTteR: 2 CAR WOOD FRAME STORAGE, TYPE CONST. , GUBST, TYPE CONST. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. INSPECTED BY DATE OF INSPECTION MARCH 1, 1995 TIME START 9:45 END 10:10 Form No. 6 TOWN OF SOUTUOLD BUILDING DEPARTMENT TOWN HALL 765-1802 f'C 3 P,95 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Con~nercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre- X~ng" land uses: 1. A~c~Kat~e. suavely q~ property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to innspect signed by the applicant. If a Certificate of Oc~c~ is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildin~ - $I00.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00., Commercial $15.00 New Construction ........... Oi~D~ Pre-existi~ Building .... House No. ~ [~' - ........... ' ................. / ~ ~ .~' ~ee~ , Hamlet Onwer or Owners of Property ..... ~~.~.~~.~ County Tax Map No 1000, Section..~. ..... Block..~ ............ Lot.~ ................ Subdivision .................................... Fi1 ed Map ............ Lot ...................... Permit No ................ Date Of Permit ................ Applicant ............................. Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... ................ . sa' .... .-. Owner(s) do(es) hereby state: CO?'~ T~. INSPECTION Name(s) / J'E.B 3 Icc · the undersigned. That the undersigned (is) (are) the owner(s) of the premises~ the Town ~'~'~t ~ ,~ ~/~:~, , which is shown and designated on the Suffolk County tax map as District 1000, Section /)~.~ , Bloek ~ , Lot That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Southold Totem Building Inspector's Office for the following: That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described property, including any and all buildings located thereon, to conduct such inspections as they may deem necessary xvith respect to the aforesaid application, including inspections to determine that said premises comply with all. of the laws, ordinances, rules and regulations of the Town of Southold. The undersigned, in consenting to such inspections, do(es) so ~vith the knowledge and understanding that any information obtained in the conduct of such inspections may be used as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: / - '~ atu~r e) (print name) (signature) (print name) TITLE i NEW SUFFOLK AVENUE FEB ?~ 3 1995 ~ ' BLDG. DE,P~ = I PECONIC BAY SCALE: I"' 40' DEC. I~ 1967 DEC. -~, 1970 SURVEY FOR ARTHUR H. AXBERG, ,JR. MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY~ N.Y. GUARANTEED TO: HOME TITLE DIVISION, CHICAGO TITLE INSURANCE COMPANY, ARTHUR If. AXGERG, JR. LAND SURYEYOR Id. Y~. LJC. NO. ~G?~S RIVERHEADt NY.